Gait training in human spinal cord injury using electromechanical systems: Effect of device type and patient characteristics

Archives of Physical Medicine and Rehabilitation

Volumn 93, Issue 3, 2012, Pages 404-412

  Benito Penalva, Jesús ^a   Edwards, Dylan J ^b   Opisso, Eloy ^a   Cortes, Mar ^b   Lopez Blazquez, Raquel ^a   Murillo, Narda ^a   Costa, Ursula ^a   Tormos, Jose M ^a   Vidal Samsó, Joan ^a   Valls Solé, Josep ^c   Medina, Josep ^a  

^a University Institute affiliated with the Autonomous University of Barcelona   (Spain)

^b BURKE MEDICAL RESEARCH INSTITUTE   (United States)

^c HOSPITAL CLÍNIC   (Spain)

Author keywords

Gait; Rehabilitation; Spinal cord injuries

Indexed keywords

ADULT; AMERICAN SPINAL INJURY ASSOCIATION IMPAIRMENT SCALE; ARTICLE; CONTROLLED STUDY; EUROPEAN MULTICENTER STUDY ABOUT HUMAN SPINAL CORD INJURY; FEMALE; GAIT; GAIT TRAINER GT 1 SYSTEM; HUMAN; LOCOMOTION; LOKOMAT ELECTROMECHANICAL GAIT TRAINING DEVICE; LONGITUDINAL STUDY; LOWER EXTREMITY MOTOR SCORE; MAJOR CLINICAL STUDY; MALE; MEDICAL INSTRUMENTATION; MOTOR PERFORMANCE; PROSPECTIVE STUDY; RATING SCALE; REHABILITATION CENTER; SCORING SYSTEM; SPINAL CORD INJURY; TREATMENT RESPONSE; WALKING; WALKING INDEX FOR SPINAL CORD INJURY II; AGE; AGED; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; DISABILITY; INSTRUMENTATION; KINESIOTHERAPY; MIDDLE AGED; RANDOMIZED CONTROLLED TRIAL; SEX DIFFERENCE;

ADULT; AGE FACTORS; AGED; DISABILITY EVALUATION; EXERCISE THERAPY; FEMALE; GAIT; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; SEX FACTORS; SPINAL CORD INJURIES; WALKING; YOUNG ADULT;

EID: 84859981323     PISSN: 00039993     EISSN: 1532821X     Source Type: Journal    
DOI: 10.1016/j.apmr.2011.08.028     Document Type: Article

References (43)

1. Zorner B, Blanckenhorn WU, Dietz V, Curt A. Clinical algorithm for improved prediction of ambulation and patient stratification after incomplete spinal cord injury. J Neurotrauma 2010;27:241-52.
2. Harness ET, Yozbatiran N, Cramer SC. Effects of intense exercise in chronic spinal cord injury. Spinal Cord 2008;46:733-7.
3. Jones TA, Chu CJ, Grande LA, Gregory AD. Motor skills training enhances lesion-induced structural plasticity in the motor cortex of adult rats. J Neurosci 1999;19:10153-63. (Pubitemid 30226687)
4. Hornby TG, Reinkensmeyer DJ, Chen D. Manually-assisted versus robotic-assisted body weight-supported treadmill training in spinal cord injury: what is the role of each? PM R 2010;2:214-21.
5. Dobkin B, Barbeau H, Deforge D, et al. The evolution of walkingrelated outcomes over the first 12 weeks of rehabilitation for incomplete traumatic spinal cord injury: the multicenter randomized Spinal Cord Injury Locomotor Trial. Neurorehabil Neural Repair 2007;21:25-35. (Pubitemid 44926969)
6. Brown G. The intrinsic factors in the act of progression in the mammal. Proceedings of the Royal Society of London 1911;84: 308-19.
7. Visintin M, Barbeau H. The effects of body weight support on the locomotor pattern of spastic paretic patients. Can J Neurol Sci 1989;16:315-25. (Pubitemid 19213593)
8. Wernig A, Nanassy A, Muller S. Maintenance of locomotor abilities following Laufband (treadmill) therapy in para- and tetraplegic persons: follow-up studies. Spinal Cord 1998;36:744-9. (Pubitemid 28515335)
9. Wernig A, Muller S. Laufband locomotion with body weight support improved walking in persons with severe spinal cord injuries. Paraplegia 1992;30:229-38.
10. Barbeau H, Norman K, Fung J, Visintin M, Ladouceur M. Does neurorehabilitation play a role in the recovery of walking in neurological populations? Ann N Y Acad Sci 1998;860:377-92. (Pubitemid 29045984)
11. Wernig A, Muller S, Nanassy A, Cagol E. Laufband therapy based on 'rules of spinal locomotion' is effective in spinal cord injured persons. Eur J Neurosci 1995;7:823-9.
12. Dietz V, Wirz M, Curt A, Colombo G. Locomotor pattern in paraplegic patients: training effects and recovery of spinal cord function. Spinal Cord 1998;36:380-90. (Pubitemid 28276687)
13. Duschau-Wicke A, Caprez A, Riener R. Patient-cooperative control increases active participation of individuals with SCI during robot-aided gait training. J Neuroeng Rehabil 2010;7:43.
14. Dobkin B, Apple D, Barbeau H, et al. Weight-supported treadmill vs over-ground training for walking after acute incomplete SCI. Neurology 2006;66:484-93.
15. Colombo G, Joerg M, Schreier R, Dietz V. Treadmill training of paraplegic patients using a robotic orthosis. J Rehabil Res Dev 2000;37:693-700.
16. Hesse S, Sarkodie-Gyan T, Uhlenbrock D. Development of an advanced mechanised gait trainer, controlling movement of the centre of mass, for restoring gait in non-ambulant subjects. Biomed Tech 1999;44:194-201. (Pubitemid 29369952)
17. Hidler J, Wisman W, Neckel N. Kinematic trajectories while walking within the Lokomat robotic gait-orthosis. Clin Biomech (Bristol, Avon) 2008;23:1251-9.
18. Mayr A, Kofler M, Quirbach E, Matzak H, Frohlich K, Saltuari L. Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis. Neurorehabil Neural Repair 2007;21:307-14. (Pubitemid 46871850)
19. Werner C, Von Frankenberg S, Treig T, Konrad M, Hesse S. Treadmill training with partial body weight support and an electromechanical gait trainer for restoration of gait in subacute stroke patients: a randomized crossover study. Stroke 2002;33:2895-901. (Pubitemid 35462863)
20. Husemann B, Muller F, Krewer C, Heller S, Koenig E. Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: a randomized controlled pilot study. Stroke 2007;38:349-54. (Pubitemid 46184306)
21. Hornby TG, Campbell DD, Kahn JH, Demott T, Moore JL, Roth HR. Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study. Stroke 2008;39:1786-92.
22. Hidler J, Nichols D, Pelliccio M, et al. Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke. Neurorehabil Neural Repair 2009;23:5-13.
23. Hesse S, Werner C, Bardeleben A. Electromechanical gait training with functional electrical stimulation: case studies in spinal cord injury. Spinal Cord 2004;42:346-52. (Pubitemid 38850542)
24. Wirz M, Zemon DH, Rupp R, et al. Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: a multicenter trial. Arch Phys Med Rehabil 2005;86:672-80. (Pubitemid 40487831)
25. Swinnen E, Duerinck S, Baeyens JP, Meeusen R, Kerckhofs E. Effectiveness of robot-assisted gait training in persons with spinal cord injury: a systematic review. J Rehabil Med 2010;42:520-6.
26. American Spinal Injury Association. International Standards for Neurological Classification of Spinal Cord Injury. Chicago: American Spinal Injury Association; 2002.
27. Ditunno JF Jr, Barbeau H, Dobkin BH, et al. Validity of the walking scale for spinal cord injury and other domains of function in a multicenter clinical trial. Neurorehabil Neural Repair 2007; 21:539-50. (Pubitemid 47585198)
28. van Hedel HJ, Wirz M, Dietz V. Assessing walking ability in subjects with spinal cord injury: validity and reliability of 3 walking tests. Arch Phys Med Rehabil 2005;86:190-6. (Pubitemid 40215278)
29. Rossier P, Wade DT. Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. Arch Phys Med Rehabil 2001;82:9-13. (Pubitemid 32057612)
30. van Hedel HJ, Wirz M, Dietz V. Standardized assessment of walking capacity after spinal cord injury: the European network approach. Neurol Res 2008;30:61-73. (Pubitemid 351768850)
31. Matthews JN, Altman DG, Campbell MJ, Royston P. Analysis of serial measurements in medical research. BMJ 1990;300:230-5. (Pubitemid 20045528)
32. Jagust W, Gitcho A, Sun F, Kuczynski B, Mungas D, Haan M. Brain imaging evidence of preclinical Alzheimer's disease in normal aging. Ann Neurol 2006;59:673-81.
33. Lunenburger L, Bolliger M, Czell D, Muller R, Dietz V. Modulation of locomotor activity in complete spinal cord injury. Exp Brain Res 2006;174:638-46. (Pubitemid 44497436)
34. Kawashima N, Nakazawa K, Akai M. Characteristics of the locomotor- like muscle activity during orthotic gait in paraplegic persons. Neurol Res 2008;30:36-45. (Pubitemid 351768847)
35. Mulroy SJ, Klassen T, Gronley JK, Eberly VJ, Brown DA, Sullivan KJ. Gait parameters associated with responsiveness to treadmill training with body-weight support after stroke: an exploratory study. Phys Ther 2010;90:209-23.
36. Waters RL, Yakura JS, Adkins RH, Sie I. Recovery following complete paraplegia. Arch Phys Med Rehabil 1992;73:784-9.
37. Waters RL, Adkins RH, Yakura JS, Sie I. Motor and sensory recovery following incomplete tetraplegia. Arch Phys Med Rehabil 1994;75:306-11. (Pubitemid 24099564)
38. Fawcett JW, Curt A, Steeves JD, et al. Guidelines for the conduct of clinical trials for spinal cord injury as developed by the ICCP panel: spontaneous recovery after spinal cord injury and statistical power needed for therapeutic clinical trials. Spinal Cord 2007;45: 190-205. (Pubitemid 46340848)
39. Scivoletto G, Farchi S, Laurenza L, Molinari M. Traumatic and non-traumatic spinal cord lesions: an Italian comparison of neurological and functional outcomes. Spinal Cord 2011;49: 391-6.
40. Gupta A, Taly AB, Srivastava A, Vishal S, Murali T. Traumatic vs non-traumatic spinal cord lesions: comparison of neurological and functional outcome after in-patient rehabilitation. Spinal Cord 2008;46:482-7. (Pubitemid 351948239)
41. Waters RL, Yakura JS, Adkins RH. Gait performance after spinal cord injury. Clin Orthop Relat Res 1993;(288):87-96. (Pubitemid 23116916)
42. Steeves JD, Kramer JK, Fawcett JW, et al. Extent of spontaneous motor recovery after traumatic cervical sensorimotor complete spinal cord injury. Spinal Cord 2011;49:257-65.
43. Kirshblum SC, O'Connor KC. Predicting neurologic recovery in traumatic cervical spinal cord injury. Arch Phys Med Rehabil 1998;79:1456-66. (Pubitemid 28525134)